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四肢骨折合并颅脑损伤手术治疗专家共识

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Expert consensus on surgical treatment of limb fracture combined with traumatic brain injury
The incidence of limb fracture is very high in patients with multiple injuries.In addition to limb fracture,some patients have traumatic brain injury as well.When severe traumatic brain injury is combined with limb fracture,the injury is often critical and complicated,with high mortality and poor prognosis.The final treatment outcomes of patients depend on injury evaluation and resuscitation,operation time,anesthesia mode,perioperative pain management,blood transfusion,nutrition and other perioperative issues.It is of great significance to master the correct evaluation method,choose the appropriate treatment strategy and reduce the risk of second-hit to the brain for the treatment of limb fracture complicated with traumatic brain injury.At present,there is no clinical guideline or expert consensus on the surgical treatment of limb fractures combined with traumatic brain injury.In view of this,the National Orthopaedic and Sports Rehabilitation Clinical Research Center launches the Expert Consensus on the Surgical Treatment of Limb Fractures combined with Craniocerebra Injury.Seven clinical problems that orthopaedic surgeons most concern about are selected,and relevant recommendations are finally formed,aiming at summarizing relevant treatment experience,guiding further clinical practice,and improving the treatment effect of limb fracture patients combined with traumatic brain injury.

Craniocerebral traumaFractures,boneExtremitiesMultiple traumaOrthopedic procedures

万中元、高杰、林宜磒、柴伟、李绍光、李运军、何红英、王晔来、韩力、郭艳辉、史纪、张熔基、田坤、宋芳、侯颖、张建政、张志成、唐佩福、孙天胜

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100853 北京,国家骨科与运动康复临床医学研究中心

100048 北京,中国人民解放军总医院第四医学中心骨科学部

100039 北京,中国人民解放军总医院第一医学中心神经外科学部

100070 北京,中国人民解放军总医院第七医学中心骨科

100040 北京,中铁建设集团有限公司

100088 北京,中国人民解放军火箭军特色医学中心口腔科

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颅脑损伤 骨折 四肢 多处创伤 矫形外科手术

军队后勤重大科研项目军队装备科学研究项目解放军总医院新技术项目北京市自然科学项目河南省重点研发专项

ALB23J002LB2022B02020020231027232165231111310100

2024

中国骨与关节杂志
中国医疗保健国际交流促进会,北京中科康辰骨关节伤病研究所

中国骨与关节杂志

CSTPCD
影响因子:0.665
ISSN:2095-252X
年,卷(期):2024.13(9)